Healthcare Provider Details

I. General information

NPI: 1588850333
Provider Name (Legal Business Name): SUZAN VIRGINIA HOLDAWAY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 09/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S 500 E
HEBER CITY UT
84032-1918
US

IV. Provider business mailing address

55 S 500 E
HEBER CITY UT
84032-1918
US

V. Phone/Fax

Practice location:
  • Phone: 435-654-2700
  • Fax:
Mailing address:
  • Phone: 435-654-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number196179-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: